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Contact Information

STEVEN CLARK, OD
8700 NE VANCOUVER MALL DR STE 168
VANCOUVER, WA98662-7922
 Phone: 360-253-3663
 Fax: 360-944-6090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STEVEN CLARK · (Male)

NPI Number 1356334734
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/31/2005
Last updated 03/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 2307-AT
  • WA License # 60589963
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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